CAMILLE ELIZABETH CROCKETT

PROVO, UT
NPI1396393393
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2081S0010X Physical Medicine & Rehabilitation, Sports Medicine
(Licence: UT  11395933-4810)
Enumeration Date2019-09-03
Last Update Date2019-09-03
Business Address
CAMILLE ELIZABETH CROCKETT ATC
1130 SMITH FIELDHOUSE
PROVO, UT 84602-2246
Phone number: 801-422-2946
Mailing Address
CAMILLE ELIZABETH CROCKETT ATC
1130 SMITH FIELDHOUSE
PROVO, UT 84602-2246
Phone number:
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